Hospital Costs > In California > Scripps Mercy Hospital, procedure costs

Scripps Mercy Hospital, procedure costs

4077 5Th Ave, San Diego, CA 92103,

Procedure Costs @ Scripps Mercy Hospital
Procedure Discharges Avg Covered Charges Avg Total Payment Avg Medicare Payment
Count Rank Amount Rank Amount Rank Amount Rank
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc405135 / 13$90.752,102555 / 174$16.737,002511 / 170$15.315,102467 / 163
Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc188376 / 52$99.625,002473 / 160$19.468,502399 / 165$16.198,502354 / 146
Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc150125 / 6$32.050,002250 / 84$7.721,132478 / 150$6.406,032463 / 150
Heart Failure & Shock W Mcc145139 / 11$70.404,902353 / 135$13.782,302356 / 147$12.435,102346 / 134
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc13931 / 3$40.309,502382 / 138$8.124,862359 / 165$6.451,732350 / 152
Septicemia Or Severe Sepsis W/O Mv 96+ Hours W/O Mcc13770 / 10$40.412,902048 / 96$10.044,102336 / 167$8.850,092326 / 170
Kidney & Urinary Tract Infections W/O Mcc13598 / 6$35.137,702379 / 108$7.911,392497 / 152$6.665,812486 / 151
Pulmonary Edema & Respiratory Failure11588 / 4$62.124,001960 / 80$11.505,702005 / 114$10.190,401999 / 108
Heart Failure & Shock W Cc114164 / 8$43.971,502435 / 108$9.666,772548 / 153$8.669,152542 / 162
Simple Pneumonia & Pleurisy W Cc100103 / 9$41.119,802363 / 79$9.515,252534 / 145$7.967,832525 / 140
Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W Mcc9630 / 3$55.269,301551 / 103$10.777,401524 / 105$9.617,791521 / 102
Simple Pneumonia & Pleurisy W Mcc82123 / 15$56.326,102039 / 63$12.856,802229 / 118$11.606,002223 / 115
Cellulitis W/O Mcc80109 / 15$29.643,402110 / 68$8.357,692386 / 149$7.059,642378 / 146
Infectious & Parasitic Diseases W O.R. Procedure W Mcc7450 / 5$246.136,001414 / 75$43.949,201309 / 67$42.117,001299 / 69
Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs70112 / 15$58.351,701850 / 104$11.886,201901 / 158$8.992,801897 / 133
G.I. Hemorrhage W Cc69149 / 29$48.977,602143 / 110$9.933,522253 / 143$8.835,292249 / 148
Intracranial Hemorrhage Or Cerebral Infarction W Mcc61107 / 15$74.269,601313 / 59$15.271,101348 / 78$13.453,401342 / 78
Cardiac Arrhythmia & Conduction Disorders W Mcc5865 / 4$59.561,601678 / 82$11.879,001695 / 110$9.887,261692 / 92
Chronic Obstructive Pulmonary Disease W Mcc58144 / 32$48.759,202146 / 69$10.745,202321 / 131$9.559,432313 / 127
Diabetes W Cc5636 / 1$43.813,601466 / 72$8.316,771382 / 81$6.670,661377 / 69
Medical Back Problems W/O Mcc5665 / 10$36.539,901184 / 43$8.694,181325 / 98$6.908,751320 / 84
G.I. Hemorrhage W Mcc5566 / 7$71.809,201358 / 68$16.232,401461 / 106$14.546,101451 / 92
Hip & Femur Procedures Except Major Joint W Cc5291 / 17$101.495,001900 / 96$16.927,601854 / 103$15.556,601834 / 106
Renal Failure W Cc52169 / 37$44.645,902141 / 100$9.361,102192 / 131$8.044,922182 / 131
Cardiac Arrhythmia & Conduction Disorders W Cc52109 / 15$42.363,701949 / 99$8.015,521992 / 126$7.001,481987 / 135
Chronic Obstructive Pulmonary Disease W Cc51128 / 22$47.357,702206 / 116$9.378,332211 / 137$7.783,592204 / 123
Heart Failure & Shock W/O Cc/Mcc4961 / 5$32.694,301772 / 57$7.067,471854 / 91$6.021,221841 / 93
Renal Failure W Mcc48147 / 39$80.207,401995 / 121$14.502,801966 / 126$13.347,701962 / 132
Respiratory System Diagnosis W Ventilator Support <96 Hours4685 / 11$101.057,001527 / 42$19.955,301586 / 63$18.728,101572 / 65
Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W/O Mcc4419 / 1$30.503,00611 / 18$7.869,39722 / 45$6.321,30720 / 44
Esophagitis, Gastroent & Misc Digest Disorders W Mcc4155 / 7$42.920,201024 / 33$11.168,201282 / 81$10.133,901277 / 85
Red Blood Cell Disorders W/O Mcc40103 / 16$37.562,801723 / 75$8.206,251801 / 107$6.954,451792 / 104
Circulatory Disorders Except Ami, W Card Cath W/O Mcc39149 / 23$67.758,601478 / 75$10.350,101493 / 79$9.113,051490 / 90
Major Small & Large Bowel Procedures W Cc3870 / 17$133.432,001402 / 66$25.191,201412 / 92$21.093,301398 / 86
Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc38158 / 35$90.093,401050 / 29$19.380,501281 / 86$15.101,101274 / 62
Syncope & Collapse37132 / 30$41.699,301725 / 93$7.959,221721 / 123$6.253,861713 / 104
Intracranial Hemorrhage Or Cerebral Infarction W/O Cc/Mcc3666 / 12$36.151,401269 / 32$7.522,671447 / 81$6.158,001443 / 87
Chest Pain36115 / 37$39.597,201588 / 104$7.762,251506 / 125$5.300,081497 / 98
Major Male Pelvic Procedures W/O Cc/Mcc3637 / 6$110.304,00360 / 25$12.517,00328 / 22$9.945,50328 / 20
Acute Myocardial Infarction, Discharged Alive W Mcc3689 / 17$107.974,001730 / 117$16.616,001694 / 116$15.354,901681 / 120
Trauma To The Skin, Subcut Tiss & Breast W/O Mcc3510 / 2$43.301,70282 / 18$7.567,14280 / 19$6.717,66280 / 25
Poisoning & Toxic Effects Of Drugs W Mcc3537 / 7$55.822,90780 / 29$13.033,30868 / 51$12.204,40865 / 53
Other Circulatory System Diagnoses W Mcc3482 / 17$86.665,101201 / 60$16.840,601191 / 72$15.738,401183 / 72
Transient Ischemia3491 / 23$40.673,901457 / 78$7.250,241541 / 104$6.229,711533 / 111
Other Vascular Procedures W Mcc3463 / 10$119.300,00727 / 21$26.444,60776 / 27$25.237,10773 / 28
Cardiac Arrhythmia & Conduction Disorders W/O Cc/Mcc32118 / 17$33.397,201838 / 87$6.137,941860 / 105$4.999,501854 / 112
Kidney & Urinary Tract Infections W Mcc32112 / 34$46.170,701624 / 78$10.446,601744 / 115$9.147,091740 / 109
Other Digestive System Diagnoses W Cc3166 / 12$49.004,201253 / 75$9.676,941308 / 97$8.588,061304 / 104
Respiratory Infections & Inflammations W Mcc31105 / 41$89.057,101580 / 76$16.733,001585 / 92$15.108,501569 / 77
Permanent Cardiac Pacemaker Implant W Cc3146 / 4$127.186,00886 / 57$21.869,70833 / 43$20.502,10829 / 41
Peripheral Vascular Disorders W Cc3153 / 4$33.993,10900 / 18$9.728,421113 / 68$8.254,191110 / 62
Chronic Obstructive Pulmonary Disease W/O Cc/Mcc3090 / 16$44.609,202008 / 96$7.493,071945 / 94$6.260,901934 / 96
G.I. Obstruction W Cc3062 / 22$44.795,201530 / 67$9.287,401568 / 110$7.147,431563 / 96
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Mcc2835 / 3$191.085,00615 / 22$40.216,90623 / 26$38.815,40623 / 28
Degenerative Nervous System Disorders W/O Mcc2751 / 6$45.422,60727 / 26$9.608,07738 / 33$8.248,56738 / 31
Red Blood Cell Disorders W Mcc2645 / 6$54.327,10898 / 38$11.853,30973 / 54$10.922,30969 / 55
Signs & Symptoms W/O Mcc2665 / 12$36.911,201167 / 43$7.305,961174 / 62$5.989,191171 / 62
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc2545 / 11$42.844,60487 / 32$8.757,76451 / 27$7.723,56451 / 26
Acute Myocardial Infarction, Discharged Alive W Cc2566 / 11$55.857,101257 / 59$10.485,901288 / 80$8.573,281286 / 72
Respiratory Infections & Inflammations W Cc2464 / 24$50.620,901157 / 31$12.437,101362 / 85$11.401,501357 / 86
Other Kidney & Urinary Tract Diagnoses W Mcc2477 / 25$49.563,80789 / 13$13.878,00901 / 43$12.109,20897 / 31
Other Kidney & Urinary Tract Diagnoses W Cc2479 / 16$38.753,60648 / 16$9.396,00741 / 37$8.476,79741 / 40
G.I. Obstruction W/O Cc/Mcc2447 / 17$30.115,901113 / 44$6.590,791239 / 79$5.398,501236 / 84
Simple Pneumonia & Pleurisy W/O Cc/Mcc2469 / 21$29.926,601608 / 37$7.332,461840 / 97$5.985,501832 / 102
Perc Cardiovasc Proc W Drug-Eluting Stent W Mcc Or 4+ Vessels/Stents2476 / 18$142.720,00791 / 30$27.090,70874 / 43$25.714,20869 / 47
Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc/Mcc2423 / 4$50.323,20418 / 7$12.159,10538 / 41$9.516,12537 / 35
Disorders Of Liver Except Malig,Cirr,Alc Hepa W Mcc2254 / 15$78.273,00441 / 36$17.076,90409 / 46$14.361,10409 / 33
Atherosclerosis W/O Mcc2236 / 5$35.094,60495 / 24$6.578,14 / 24$5.310,91 /
Septicemia Or Severe Sepsis W Mv 96+ Hours2270 / 33$202.703,00753 / 38$39.956,80570 / 18$38.066,00569 / 13
Cranial & Peripheral Nerve Disorders W/O Mcc2147 / 10$42.203,00632 / 29$8.780,43649 / 32$7.608,81649 / 31
Alcohol/Drug Abuse Or Dependence W/O Rehabilitation Therapy W/O Mcc21103 / 18$41.470,30793 / 31$7.183,19740 / 26$6.358,29739 / 32
Diabetes W/O Cc/Mcc2117 / 1$31.602,80265 / 4$6.287,86235 / 4$4.728,43235 / 4
Laparoscopic Cholecystectomy W/O C.D.E. W Cc2135 / 9$75.774,70701 / 19$14.758,50818 / 47$13.327,30814 / 54
Major Chest Procedures W Mcc2029 / 6$278.000,00312 / 16$49.184,20314 / 16$47.381,20313 / 19
Diabetes W Mcc2037 / 8$70.786,10687 / 34$12.647,50648 / 31$11.517,60647 / 33
Bronchitis & Asthma W Cc/Mcc2056 / 13$37.800,10854 / 22$8.565,10952 / 54$7.073,45948 / 52
Organic Disturbances & Mental Retardation1940 / 6$31.147,60359 / 6$9.521,84445 / 14$8.145,37445 / 12
Circulatory Disorders Except Ami, W Card Cath W Mcc1974 / 14$117.928,00831 / 33$20.495,80831 / 44$19.268,40823 / 44
Dysequilibrium1946 / 8$31.126,40426 / 9$6.668,79504 / 26$5.382,47504 / 29
Cellulitis W Mcc1939 / 15$48.743,10723 / 31$12.944,70853 / 55$11.829,90851 / 58
Other Circulatory System O.R. Procedures1936 / 8$109.991,00346 / 14$23.076,60354 / 17$21.790,10354 / 15
Hypertension W/O Mcc1946 / 8$29.835,00634 / 7$6.666,16697 / 16$5.379,11695 / 18
Poisoning & Toxic Effects Of Drugs W/O Mcc1843 / 7$38.378,90847 / 26$6.820,89798 / 36$5.696,50797 / 39
Seizures W/O Mcc1890 / 24$39.839,301134 / 46$7.806,331167 / 64$6.724,831165 / 68
Other Disorders Of Nervous System W Cc1838 / 9$65.834,40604 / 45$11.333,90567 / 47$7.889,50566 / 38
Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc1871 / 27$93.070,10753 / 62$10.245,90699 / 41$8.958,00698 / 51
Major Small & Large Bowel Procedures W Mcc1867 / 22$244.103,001153 / 50$45.104,101140 / 51$42.986,801138 / 51
Fractures Of Hip & Pelvis W/O Mcc1843 / 13$34.399,10796 / 30$7.430,00861 / 56$6.159,67860 / 58
Infectious & Parasitic Diseases W O.R. Procedure W Cc1818 / 5$93.495,90284 / 6$19.602,30265 / 13$16.717,20264 / 8
Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Dis W Cc1812 / 1$93.272,40177 / 4$19.579,10173 / 6$15.685,50172 / 5
Respiratory System Diagnosis W Ventilator Support 96+ Hours1853 / 15$237.551,00839 / 38$42.939,00816 / 41$41.093,10815 / 41
Major Gastrointestinal Disorders & Peritoneal Infections W Mcc1838 / 8$79.561,80581 / 24$15.532,80536 / 30$14.111,20535 / 26
Laparoscopic Cholecystectomy W/O C.D.E. W Mcc1822 / 8$99.722,30349 / 13$20.115,70405 / 22$18.838,20404 / 24
Hip & Femur Procedures Except Major Joint W/O Cc/Mcc1838 / 16$99.467,40890 / 61$14.617,90843 / 53$13.252,80840 / 53
Complications Of Treatment W Cc1735 / 8$39.682,90288 / 7$10.297,80274 / 10$7.836,94274 / 8
Other Digestive System Diagnoses W Mcc1745 / 17$69.229,90627 / 45$14.905,60620 / 45$13.822,40619 / 45
Cardiac Valve & Oth Maj Cardiothoracic Proc W/O Card Cath W Cc17101 / 24$314.967,00513 / 26$41.627,40443 / 8$40.132,20443 / 13
Other Vascular Procedures W Cc1785 / 27$131.722,001017 / 42$27.389,00929 / 67$19.317,90924 / 30
Disorders Of Pancreas Except Malignancy W Cc1645 / 9$55.081,90897 / 44$9.667,69901 / 45$8.521,38898 / 46
O.R. Procedures For Obesity W/O Cc/Mcc1661 / 12$78.097,10373 / 14$14.088,90366 / 13$12.649,90365 / 17
Extracranial Procedures W/O Cc/Mcc1682 / 24$66.581,10860 / 33$9.851,50894 / 42$8.916,88891 / 50
Major Small & Large Bowel Procedures W/O Cc/Mcc1648 / 14$94.893,00716 / 34$16.417,80664 / 34$12.445,10664 / 31
Spinal Fusion Except Cervical W/O Mcc16178 / 50$233.679,001326 / 82$34.679,801265 / 57$33.508,801260 / 69
Other Disorders Of Nervous System W Mcc1624 / 7$66.549,00260 / 11$13.939,40264 / 16$12.980,80264 / 18
Other Respiratory System Diagnoses W/O Mcc1630 / 8$35.198,40258 / 9$8.479,88260 / 12$6.399,44260 / 11
Degenerative Nervous System Disorders W Mcc1523 / 4$162.864,00227 / 9$24.591,50221 / 10$19.790,50221 / 10
Extensive O.R. Procedure Unrelated To Principal Diagnosis W Cc1529 / 9$126.493,00373 / 13$24.350,30367 / 17$22.680,70365 / 21
Acute Myocardial Infarction, Expired W Mcc1515 / 1$102.616,00185 / 2$23.857,50155 / 2$13.695,20155 / 2
Major Cardiovasc Procedures W/O Mcc1586 / 26$238.168,00989 / 59$34.432,80977 / 56$32.932,00976 / 57
Major Cardiovasc Procedures W Mcc1553 / 15$287.580,00611 / 33$47.823,70568 / 31$45.955,80567 / 32
Major Gastrointestinal Disorders & Peritoneal Infections W Cc1558 / 19$42.059,20856 / 19$10.399,10996 / 47$9.511,87994 / 52
G.I. Hemorrhage W/O Cc/Mcc1553 / 14$25.351,30714 / 12$7.585,00882 / 50$5.610,13878 / 43
Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc/Mcc1513 / 3$82.756,4093 / 4$14.860,0089 / 5$13.741,3089 / 4
Hip & Femur Procedures Except Major Joint W Mcc1448 / 14$121.876,00798 / 27$23.726,30802 / 37$22.488,70799 / 36
Coronary Bypass W Cardiac Cath W/O Mcc1462 / 14$325.235,00596 / 24$40.451,90579 / 21$38.786,30579 / 24
Traumatic Stupor & Coma, Coma <1 Hr W/O Cc/Mcc1440 / 14$62.091,90393 / 17$7.039,29339 / 14$6.080,50339 / 18
Psychoses14261 / 29$34.353,90514 / 19$9.687,07535 / 15$8.870,36535 / 18
Revision Of Hip Or Knee Replacement W Cc1472 / 19$151.063,00614 / 21$27.861,40601 / 19$26.795,90599 / 20
Other Resp System O.R. Procedures W Mcc1449 / 4$143.209,00471 / 4$28.561,10457 / 6$27.003,10456 / 8
Nonspecific Cerebrovascular Disorders W Cc1442 / 12$56.201,00432 / 23$10.255,40440 / 27$9.103,86440 / 26
Pulmonary Embolism W/O Mcc1460 / 16$51.695,901178 / 44$9.529,071089 / 55$7.108,791086 / 37
Other Skin, Subcut Tiss & Breast Proc W Cc1410 / 3$87.323,4091 / 2$14.978,4094 / 2$13.481,9094 / 3
Nonspecific Cerebrovascular Disorders W Mcc1338 / 12$107.634,00400 / 34$14.153,20329 / 23$12.621,50329 / 17
Signs & Symptoms Of Musculoskeletal System & Conn Tissue W/O Mcc1334 / 8$30.347,90289 / 5$7.372,31325 / 9$6.207,15325 / 9
Traumatic Injury W/O Mcc135 / 1$44.689,5024 / 2$7.377,6920 / 2$6.252,5420 / 2
Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc1327 / 8$43.740,60218 / 5$11.150,60260 / 13$9.914,69260 / 15
Hiv W Major Related Condition W Cc1311 / 3$64.306,9036 / 2$12.570,5020 / 3$11.258,5020 / 3
Digestive Malignancy W Cc1334 / 10$46.118,90274 / 6$13.052,80315 / 16$9.758,54313 / 11
Respiratory Neoplasms W Cc1334 / 11$48.474,20385 / 9$11.024,40432 / 16$9.802,92431 / 19
Other Circulatory System Diagnoses W Cc1254 / 14$62.652,80642 / 21$10.437,30609 / 20$8.597,33608 / 22
Other Injury, Poisoning & Toxic Effect Diag W/O Mcc125 / 3$47.988,306 / 3$7.041,922 / 1$5.987,502 / 1
G.I. Obstruction W Mcc1230 / 10$74.150,20471 / 25$15.027,30480 / 31$13.858,80480 / 31
Ecmo Or Trach W Mv 96+ Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.1269 / 17$1.560.330,00446 / 31$252.593,00449 / 31$240.420,00448 / 31
Trauma To The Skin, Subcut Tiss & Breast W Mcc123 / 1$60.307,503 / 1$12.978,203 / 1$11.819,603 / 1
Lower Extrem & Humer Proc Except Hip,Foot,Femur W Cc1243 / 15$132.669,00628 / 38$17.785,20589 / 30$16.492,00585 / 33
Other Kidney & Urinary Tract Procedures W Mcc1226 / 4$107.733,00155 / 1$26.078,10180 / 3$24.898,40179 / 4
Major Chest Procedures W Cc1262 / 18$230.536,00503 / 35$31.082,10483 / 30$24.556,30481 / 26
Revision Of Hip Or Knee Replacement W/O Cc/Mcc1257 / 20$146.340,00483 / 29$23.443,40472 / 22$22.204,60471 / 30
Cranial & Peripheral Nerve Disorders W Mcc1224 / 11$73.647,70136 / 12$12.812,90131 / 13$12.072,10131 / 12
Traumatic Stupor & Coma, Coma <1 Hr W Cc1254 / 18$56.396,50457 / 14$10.450,80466 / 25$9.446,83465 / 27
Permanent Cardiac Pacemaker Implant W Mcc1141 / 13$205.757,00579 / 38$49.363,50508 / 48$28.121,40508 / 22
Hiv W Major Related Condition W Mcc1126 / 6$93.117,6063 / 2$22.448,4042 / 2$21.329,6042 / 2
Major Joint & Limb Reattachment Proc Of Upper Extremity W/O Cc/Mcc1185 / 30$138.246,00805 / 43$25.538,90635 / 47$14.466,90631 / 13
Other Skin, Subcut Tiss & Breast Proc W/O Cc/Mcc1116 / 5$66.639,3053 / 3$10.278,5048 / 5$8.661,8248 / 5
Lower Extrem & Humer Proc Except Hip,Foot,Femur W/O Cc/Mcc1136 / 11$92.848,80493 / 19$15.181,80436 / 23$10.874,50436 / 18
Malignancy Of Hepatobiliary System Or Pancreas W Mcc1142 / 12$105.934,00324 / 18$16.239,50281 / 11$14.771,50282 / 11
Angina Pectoris1114 / 6$35.431,5061 / 6$6.280,7364 / 6$5.603,0064 / 7
Transurethral Prostatectomy W/O Cc/Mcc1118 / 5$48.982,6080 / 6$7.530,2774 / 4$6.528,6474 / 5
Total 148 procedures5.236discharges

DATA

Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014

Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.

Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.

Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration

Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.